Table 1 Organizational structure and description of key services provided by the four health worker cadres preventing vertical transmission of HIV in rural Mozambique
Cadre | Key services | Organization | Receives supervision | Salary | Supported by |
|---|---|---|---|---|---|
Maternal and child health nurses | Antenatal care, birth, children 0–5 years, family planning, and clinical PVT services | Health facilities | Yes | US$ 250/month | Ministry of Health, CARE International via PEPFAR |
Activistas (community volunteers) | Home-based care, counseling (e.g., treatment adherence, appointment follow-up), linking HIV-infected individuals to clinical care | Association (3 leaders, 20 activistas) | Yes | 850 MZN/month (~US$ 28) | CARE International |
Community health workers (CHWs) | Portfolio of health promotion and preventative care (e.g., sanitation and hygiene, malaria, and maternal and child health including breastfeeding and family planning, limited HIV/AIDS), limited curative care | Reports to coordinator at health facility | Yes | 1 200 MZN/month (~US$ 40)a | Ministry of Health and Malaria Consortium |
Traditional birth attendants (TBAs) | Refer women to health facilities for antenatal care and delivery and occasionally assist in home births | Not formally organized | No | Uncompensated | N/A |